Case-series · July 29, 2026
Chiropractic Care and Chronic Pain Management: A Retrospective Case Series from 180 Health Solutions
Abstract
Background: Chronic pain is a widespread and complex condition impacting quality of life for millions. This report examines patient outcomes at a single chiropractic clinic focusing on integrated health solutions. Methods: A retrospective case series (n=4) was conducted using de-identified patient data from 180 Health Solutions in Mandan, ND. Inclusion criteria were patients presenting with chronic pain who underwent care and had documented outcomes. Primary outcome measures included self-reported pain reduction percentages. Results: The aggregate data from four cases showed a mean pain reduction of 60% (median 60%). Individual cases reported significant improvements in pain and quality of life early in their care. One case specifically noted a 60% pain reduction. Conclusions: The initial findings from this small case series suggest that an integrated chiropractic approach, encompassing various techniques and nutritional support, may be effective in reducing chronic pain. Further, larger studies are warranted to validate these observations.
Methods
This retrospective case series analyzed the outcomes of four de-identified patients who received care for chronic pain at 180 Health Solutions in Mandan, ND, a practice led by Dr. Steve Nagel, Dr. Will Woodcock, Amanda Prado (Naturopath & Holistic Nutritionist), and Jana Millner (Health Coach). The study design was observational and retrospective, drawing data from existing patient records. The inclusion criteria for this case series were patients presenting with chronic pain as a primary complaint or a significant co-morbidity, who had documented outcomes related to their pain experience during the course of their care at the clinic. Data examined included chief complaints, baseline status, post-treatment status, pain reduction percentages where documented, and patient narratives describing their experiences. The clinic employs a range of techniques including Shockwave, Weight Loss protocols, Heart Health support, Blood Pressure management, Insulin Resistance interventions, Hypertension management, Thyroid Health support, care for Knee Problems, Neuropathy, Lower Back Pain, Migraines, Headaches, general Chiropractic care, Family Chiropractic, Inflammation Management, Nutrition, and support for Chronic Fatigue & Brain Fog. The primary metric captured was the percentage of pain reduction, primarily as reported by the patients, reflecting a subjective assessment of their improvement. Mobility improvement was not consistently tracked across all cases and therefore could not be aggregated. The data collection was limited to information available in patient records, meaning certain metrics were not standardized across all cases. This approach provides qualitative and quantitative insights into real-world patient experiences and outcomes within a single clinical setting. A key limitation of this retrospective design is the absence of a control group and reliance on self-reported data, which may introduce recall bias.
Discussion
The outcomes observed in this retrospective case series from 180 Health Solutions suggest a promising role for an integrated chiropractic and holistic health approach in managing chronic pain. The mean pain reduction of 60% across the four cases is noteworthy, indicating that patients experienced substantial symptomatic relief. This figure compares favorably with outcomes often reported in literature for various chronic pain interventions, though direct comparisons are limited by the small sample size and observational nature of this study. The consistent self-reported improvements in individual cases highlight the potential for personalized, multi-modal care to address the complex nature of chronic pain. The patient narratives, emphasizing 'significant pain reduction and better quality of life,' 'noticeably less pain with individualized care,' and feeling 'listened to,' underscore the importance of a comprehensive and patient-centered approach. This extends beyond simple pain modulation to include broader aspects of health and patient experience, which is often crucial in chronic pain management. The clinic's diverse range of services, including Shockwave therapy, nutrition, and management of co-occurring conditions like hypertension and insulin resistance, may contribute to these outcomes by addressing various facets that influence chronic pain. While these findings are preliminary, they suggest that chiropractic care, when integrated with other health interventions, can be an effective strategy for patients seeking alternatives or adjuncts to conventional pain management. The clinical implications point towards the utility of a holistic model that considers the patient's entire health profile, rather than focusing solely on isolated pain symptoms.
Limitations
This retrospective case series is subject to several limitations inherent in its design. Firstly, the retrospective nature means that data were collected after the fact, potentially leading to incomplete or inconsistently recorded information. Secondly, it is a single-site study conducted at 180 Health Solutions, limiting the generalizability of the findings to other clinical settings or populations. The small sample size of four cases further restricts the ability to draw broad conclusions. Thirdly, the primary outcome measures, particularly pain reduction, were largely based on self-reported patient feedback, which can be subjective and prone to recall bias. There was no standardized objective metric for mobility improvement across all cases. Fourthly, there was no control group, preventing a comparative analysis of the intervention's efficacy against no treatment or alternative treatments. Finally, selection bias might be present, as patients who opt for care at a specific clinic with a particular philosophy may already be predisposed to positive outcomes or satisfied with their care, influencing their reporting of results.